"In a single week we saw an additional $100K+ in otherwise missing RAF value by using the RCxRules HCC Coding Software. With RCxRules, we were easily able to scale up with value-based contracts. The value of RCxRules software is unprecedented—in fact, it's a necessity for any organization with risk-based contracts."
Using HCC coders alone is a cost-prohibitive way to improve HCC capture and re-capture rates. RCxRules automated HCC coding software dramatically increases coder productivity by identifying and directing only those high-value encounters with HCC coding gaps to coders for review—all before a claim is submitted.
RCxRules identifies value-based encounters and reviews those encounters for HCC coding gaps. The software compares diagnosis codes to historical HCCs as well as suspected HCCs from population health management software or a payer.
If there’s a missed HCC code, your coders can review and correct the diagnosis code before it’s submitted as a claim.
Retrospective chart reviews are manual and expensive. RCxRules' instantaneous coding workflow reviews encounters before they are submitted as a claim to ensure accurate HCC capture the first time.
Track HCC improvements with real time insights into the HCCs added or deleted by your coders. See how the software pays for itself within the first few months.
Your success is our success. We pride ourselves on the quality of our implementations and support. A dedicated account manager will work with you to optimize the software so you can reach your goals.